Active NPI
Thao Nu Phuong Nguyen, PHARMD
- Pharmacist
- Tacoma, WA
National Provider Identifier
1811470669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60867738
- Practice address
- 707 S 56TH St
Tacoma, WA 98408-5617 - Phone
- (253) 471-1730
- Fax
- (253) 471-3529
- NPI assigned
- Sep 7, 2018
- Last updated
- Sep 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60867738 | WA | Primary |
Addresses
Primary practice location
707 S 56TH St
Tacoma, WA 98408-5617
Mailing address
15602 31St PL W
Lynnwood, WA 98087-2515
Phone (425) 772-6118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH60867738 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
Other names 1
- Dr. Thao Nu Phuong Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60867738 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1811470669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15602 31ST PL W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980872515",
"telephone_number": "425-772-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S 56TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984085617",
"telephone_number": "253-471-1730",
"fax_number": "253-471-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAO",
"middle_name": "NU PHUONG",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60867738",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "PH60867738",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THAO",
"last_name": "NGUYEN",
"middle_name": "NU PHUONG",
"prefix": "DR.",
"credential": "PHARMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.